Provider Demographics
NPI:1871025544
Name:ROBIDOUX, AIDAN (PT, DPT, LAT, ATC)
Entity type:Individual
Prefix:DR
First Name:AIDAN
Middle Name:
Last Name:ROBIDOUX
Suffix:
Gender:M
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7123 WOODSON ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2170
Mailing Address - Country:US
Mailing Address - Phone:949-309-9467
Mailing Address - Fax:
Practice Address - Street 1:2113 E KANSAS CITY RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7050
Practice Address - Country:US
Practice Address - Phone:913-791-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-07789225100000X
KS24-016002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer